Provider Demographics
NPI:1821696709
Name:SCHEELE, DARIN H
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:H
Last Name:SCHEELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2503
Mailing Address - Country:US
Mailing Address - Phone:507-530-6723
Mailing Address - Fax:507-532-2045
Practice Address - Street 1:900 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2503
Practice Address - Country:US
Practice Address - Phone:507-532-2556
Practice Address - Fax:507-532-2045
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist